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NPI Code Detail

MEDICARE: EVA ANDERSON

MEDICARE: EVA ANDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor178017273IL
2101YP2500XProfessional Counselor180015581IL

General Provider Information

NPI Number : 1740936061
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA ANDERSON
Provider Business Mailing Address
First Line : 6748 W 111TH ST
Second Line :
City : WORTH
State : IL
Zip : 60482-1912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6748 W 111TH ST
Second Line :
City : WORTH
State : IL
Zip : 60482-1912
Country : US
Telephone Number : 815-274-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2022
Last Update Date : 08/07/2025

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Directions to “ EVA ANDERSON ” Practice Location

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